Postoperative severe microangiopathic hemolytic anemia associated with a giant hepatic cavernous hemangioma.

Abstract

Complications related to liver hemangioma are rare. We herein describe the case of a patient with three giant cavernous hemangiomas of the liver, of which two were resected for symptoms. A significant microangiopathic hemolytic anemia occurred in the early postoperative period, leading to acute renal failure and necessitating blood transfusions. The systematic evaluation of hemolytic processes in the postoperative patient is described. Surgeons should be aware of the potential for hemolytic complications after major surgery when giant hepatic hemangiomas are present.

• Authors: Kaysie L Banton, Jonathan D'Cunha, Noel Laudi, Catherine Flynn, Dale Hammerschmidt, Abhinav Humar, Timothy Sielaff
• Journal: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract (J Gastrointest Surg) 2005 May-Jun Vol. 9 Issue 5 Pg. 679-85 ISSN: 1091-255X [Print] United States
• PMID: 15862263 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Anemia, Hemolytic (diagnosis, etiology, therapy)
• Blood Chemical Analysis
• Blood Transfusion (methods)
• Female
• Follow-Up Studies
• Hemangioma, Cavernous (pathology, surgery)
• Hepatectomy (methods)
• Humans
• Liver Neoplasms (pathology, surgery)
• Middle Aged
• Neoplasm Staging
• Postoperative Complications (diagnosis)
• Risk Assessment
• Tomography, Spiral Computed
• Treatment Outcome
• Urinalysis